Two different ways to install an AMS CX cylinder involving tubing issues

The final frontier. Deciding when, if and how.
oldbeek
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Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby oldbeek » Tue Feb 25, 2020 11:57 am

Waynetho wrote:
Trchd1 wrote:so are you saying that method "A" cannot be used via penoscrotal?


Now that you have the illustrations posted, Method A is most common for infrapubic because the cylinders are installed via dorsal corporotomies (top) from the pubic region. It would be awkward to say the least, to get the corporotomies on the top side of the corpora while accessing them from a penoscrotal incision.

Method B is very typical of a penoscrotal surgery because the corporotomies are on the ventral (bottom) side of the corpora, very easily accessible from the penoscrotal incision.
Waynetho, do you have your A and B mixed up? My infrapubic installation the tubes attach at top then loop down to the pump. One tube comes back up from the pump block to the reservoir.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Waynetho
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Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Tue Feb 25, 2020 12:36 pm

No, based on the illustrations the OP posted, method A is infrapubic with the tubes on top. Method B is penoscrotal with the tubes on the bottom.

[EDIT: I apparently saw the image wrong or mis-remembered it. "B" has the tubing over the top, thus "INFRAPUBIC" and "A" has the tubing underneath, thus "PENOSCROTAL".]
Last edited by Waynetho on Wed Feb 26, 2020 11:42 pm, edited 1 time in total.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby tomas1 » Tue Feb 25, 2020 1:46 pm

Did you have peno-scrotal or infra-pubic installation?
If scrotal I wonder how the tubing to the pump would go up?

Something doesn't sound right and I don't think it reflects well on Dr Kramer's operation.
Either definition of operation applies.

Could they have used the longer tubing used for infra-pubic if peno-scrotal

Maybe the tubing can be pulled down eventually?

So many questions.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Tue Feb 25, 2020 3:25 pm

tomas1 wrote:Did you have peno-scrotal or infra-pubic installation?
If scrotal I wonder how the tubing to the pump would go up?

Something doesn't sound right and I don't think it reflects well on Dr Kramer's operation.
Either definition of operation applies.

Could they have used the longer tubing used for infra-pubic if peno-scrotal

Maybe the tubing can be pulled down eventually?

So many questions.

Dr Kramer used the penoscrotal
I'm pretty sure that's the only method that he uses

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby tomas1 » Tue Feb 25, 2020 3:46 pm

I wonder how the cylinder to pump tubing could get to the side?
I wonder if after your swelling goes down, you'll be able to move the tubing.
In my peno-scrotal result, I can only feel tubing in the scrotum.
I hope your condition improves.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Tue Feb 25, 2020 3:55 pm

tomas1 wrote:I wonder how the cylinder to pump tubing could get to the side?
I wonder if after your swelling goes down, you'll be able to move the tubing.
In my peno-scrotal result, I can only feel tubing in the scrotum.
I hope your condition improves.

In my penoscrotal installation, the left cylinder tube and the reservoir tube run down the left side and the right cylinder tube runs down the right side. The three quick connects are palpable right at the base.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Tue Feb 25, 2020 4:07 pm

tomas1 wrote:I wonder how the cylinder to pump tubing could get to the side?
I wonder if after your swelling goes down, you'll be able to move the tubing.
In my peno-scrotal result, I can only feel tubing in the scrotum.
I hope your condition improves.

So you're saying at the base of your penis right next to your body you don't feel any tubes at all?

Trchd1
Posts: 24
Joined: Mon Jan 06, 2020 2:11 pm

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Trchd1 » Tue Feb 25, 2020 4:09 pm

Waynetho wrote:
tomas1 wrote:I wonder how the cylinder to pump tubing could get to the side?
I wonder if after your swelling goes down, you'll be able to move the tubing.
In my peno-scrotal result, I can only feel tubing in the scrotum.
I hope your condition improves.

In my penoscrotal installation, the left cylinder tube and the reservoir tube run down the left side and the right cylinder tube runs down the right side. The three quick connects are palpable right at the base.

So can you feel the two tubes on the left base of your penis and one tube on the right?

tomas1
Posts: 2003
Joined: Tue Jul 23, 2013 5:12 pm
Location: Tempe, AZ

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby tomas1 » Tue Feb 25, 2020 4:25 pm

Trchd1 wrote:
tomas1 wrote:I wonder how the cylinder to pump tubing could get to the side?
I wonder if after your swelling goes down, you'll be able to move the tubing.
In my peno-scrotal result, I can only feel tubing in the scrotum.
I hope your condition improves.

So you're saying at the base of your penis right next to your body you don't feel any tubes at all?


That's correct. The only tubing I can feel is in the scrotum.
It wouldn't preclude cow girl or BJ if I had someone who was adventurous.
86 years
Inject testosterone weekly.
Implant on 1/22/19 by Dr Avila.
Scrotal, hor. incision just over 1"
18cm AMS 700 CX, 3.5cm RTE 100cc res
Gleason 6 prostate cancer. Monitoring it for now.
Update: On my last biopsies the cancer wasn't found.

Waynetho
Posts: 1768
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Two different ways to install an AMS CX cylinder involving tubing issues

Postby Waynetho » Tue Feb 25, 2020 4:28 pm

Trchd1 wrote:So can you feel the two tubes on the left base of your penis and one tube on the right?

Yes, not just the tubes but the quick connects that joined the pump tubes to the cylinder and reservoir tubes. All tubes can be felt at the base, on either side respectively.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0


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